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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983175 <br />Bent County <br />000000000 <br />021083 <br />021083 <br />4300-01 <br />4300-01 <br />Minerals Annual Fees <br />M-1983-177 AHH <br />Minerals Annual Fees <br />M-1983-178 AHH <br />Receipt #: <br />Date: <br />Permit: <br />9274 <br />10/20/2010 <br />M1983177 <br />$323.00 <br />$791.00 <br />I Receipt Total: $1,114.00 <br />Page 1 of 1